Active NPI
Mercedes Raquel Del Valle, D.D.S.
- General Practice Dentistry
- Eugene, OR
National Provider Identifier
1194825950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D7030
- Practice address
- 388 High St
Eugene, OR 97401-2310 - Phone
- (541) 341-1404
- Fax
- (541) 342-7602
- NPI assigned
- Sep 22, 2006
- Last updated
- Jan 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D7030 | OR | Primary |
Addresses
Primary practice location
388 High St
Eugene, OR 97401-2310
Mailing address
388 High St
Eugene, OR 97401-2310
Phone (541) 341-1404
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7030 | Other | OR | DELTA DENTAL |
| 004722000 | Other | BLUE CROSS BLUE SHIELD | |
| 083001 | Medicaid | OR | |
| 000698861 | Other | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150612000016 | OR | Order and Referring Only - Oral Surgery | 5698086981 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421452800000",
"number": "1194825950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 HIGH ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012310",
"telephone_number": "541-341-1404",
"fax_number": "541-342-7602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 HIGH ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012310",
"telephone_number": "541-341-1404",
"fax_number": "541-342-7602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL VALLE",
"first_name": "MERCEDES",
"middle_name": "RAQUEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2015-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D7030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "7030",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "004722000",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "083001",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "000698861",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.